|
,.
<br /> � . .•:f1.� . �,x , I
<br /> `� 1
<br /> I
<br /> ' BUILDlNG PERM�T INFORMATION
<br /> � �� � �.,�; .
<br /> ADDRESS __ /a a / - y q "�osC ScJ. . �: , .
<br /> (1) BUILDINGPERMITFEE $ sy9. �
<br /> (A) PLAN CHECK FEE '—
<br /> � (2) PLUMBING �ao —
<br /> '(3) MECHANICAL ' � ' _ 90 —
<br /> (4) STATE SURCHARGES __ __
<br /> (A) BUILDING CODE 5! Sa
<br /> (� ENEROYCODE
<br /> (5) DRIVEWAY PERMIT � —
<br /> ' $ '�.�_—
<br /> ( �ATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ _ / o �
<br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH
<br /> (B) EXIS'1'.� WATER SERVICE APPLICATION NO. I
<br /> (7) STATUS OF SEWER CHARGES: I
<br /> BOND_�DIS7RICT_ . FOOTAGE I
<br /> N, S E. W �
<br /> ORDIiVANCE 1171-85
<br /> � WATER • '3 �f' —
<br /> ,. SEWER , . . S_J'9 ` _
<br /> ,,, .., TOTAL OFD. FEE • �%3. �
<br /> � C:`�t"b ti, ?''4l � ::i��,`i".
<br /> . :�.. �..� '+ ,t ,,.
<br /> . .r .
<br /> ., r, f�. s; �.,,. .,
<br /> . ;.1 a . �.;�ti.�i� ,: �
<br /> , .. � .��+.�+;�:x 1., :. � �'
<br /> ' i� �'i �;� � SE1�1/�' �:O�INEC�(SN CHARGES ^ ;
<br /> YEAR ' � •� _. " TFiUNK $ /id
<br /> LAtERA�. ;" , ' .,
<br /> � TOTAL�CbNNEC710N CHARGES $
<br /> , , . . . -
<br /> : .�,. , �v.; � ; ;
<br /> � SEWEW PERMIT FEE g 30 —
<br /> �
<br /> ;�. ,;
<br /> 1 ,,_� .
<br /> 'r;; :y "� i :1
<br /> � ,r�
<br /> `` , fy.'��; ,� :,t',' .
<br /> �
<br /> . � � . .��..... � i.. ;.� � •
<br /> . . . . � ,�r� . .
<br /> . . n� .��J. .
<br /> ' - � i . � � i��.�,i . . . .
<br /> ' . . ..:r� .,3'� .. . .
<br /> .. ' � . .� . .. , ' '
<br /> � . .... . ... . ... .. .. n{ . . i .
<br /> . . . . ... .. ' . 1 Y�' � ... I
<br /> . . .... � I 1 ' . . �. . � . �
<br /> , � 1 S! �',.�:i i
<br /> � � .II
<br /> . . � . . .��. �� i
<br /> . � � � ' ��'��i " • . �
<br /> , ' . � . � .�':.{ ' � . � .... .. . .
<br /> � ty�. �1C' .•
<br /> , �::� .1: � „ ' .
<br /> t
<br /> �.f:� -..i . .. , . . . . .�.e ...i
<br />
|